SearchArizona251S00000X

Larry Brandon

NPI 1023723475 · on the registry since 2023 · sole proprietor

Practice

Address
1575 W University Dr Ste 111
Tempe, AZ 85281
Phone
(480) 687-9009

Registry record

Primary taxonomy
251S00000X
251S00000X
Also registered as
101YM0800X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona